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8925 SW CENTER STREET
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BUILDING PERMIT APPLICATION TIGARD DATE Auaauat�d ,q 'r._i'af" 09 7 7
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED [1113*14114ex
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
Mr, s),ater Hintz 9925 SW Cantor b3'-1240
DINNER ADURE55 _ BUILDER PHONE
ENGINEER
auii-ula *piko3j ARCHITECT '-1 DESIGNER
STRUCTURE- ONEW O 0
REMODEL OADDITION -- REPAIR ❑RENEWAL [:]FIRE DAMAGE []DEMOLITION
ESIDENCE -QLOMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE O STORAGE DSI_AB ❑FENCE
BOND LJ MOVING ❑CONDITIONAL USE ❑C)ESIGN REVIEW LJCOUNCIL APPROVED ❑SIGNS
QCUPANCY LAND USE ZOIJE BLDG.TYPE FIRE ZONE— PLAN CHECK BY� HEAT._
Patio crtvur apprnx 1'r 1..x cq Is U e an—iaure Ui-le-jus or hou cT —
_
4X n 13 metal parts ancliored to aunarea ray a n ng weII.—
All Materials are mortal. Approved by planning deptl Roo*
a R
OCC,LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA _VALUE
BUILDING DEPARTMENT SET BACKS FRONT__ REAR____ LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUFD SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT TI1i?
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMI7 DOFF NOT WAIVF
RF.S7'RICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRF.Nf CATV BUSINESS
1%State •15 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AAD HEATING.
Total
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By
APr ANT OR AGENT — - �"------"-"'
Approved _ Receipt No. T
— --
ADDRESS
-----
--------___
PNCWC
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DATE INSP, TYPE INSPECTION REMARKS
PLUMBING DATE —
o _ -
U'�� Contractor —
V Permit No.
----- Rou h-in
--- Fixture
-- Final -... --
__— V �- HEATING -
-�--- Contractor
Permit No.
--- Gas or Oil
- -------- Rou h-in -
- -- Final
— -- SEWER -
Final
-- — DRIVEWAY
-- Final
_— Storm Drainage
--- (Rain Drain) Final
Sidewalk
Curb&Street Final
BLDG.DEPT, FINAL TEMPORARY CEP.TIFICATE OCCUPANCY_ A proach
CERTIFICATE OCCUPANCY Final
Landscaping
— C Zoning Final
Address ra,44,-& Permit No.
Name of Occupant__ Permitcharge_
Gmneetke
Piid by__
Date connected
Type of Building kL4� Inspection fee
Service Rate— Paid by --Datr3--
Contractor Assepsmeni ) 90—t-kA—Paid
Size of connection- 1/